<%@ page language="java" contentType="text/html; charset=UTF-8" pageEncoding="UTF-8"%>
<%@include file="/commons/include/html_doctype.html" %>
<html>
	<head>
		<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
		<%@include file="/commons/page/codegen.jsp" %>
		<script type="text/javascript" src="${ctx}/js/plugins/artTemplate/artTemplate.js"></script>
		<script type="text/javascript" src="${ctx}/js/gpoint/rdp/user/campusCard.js"></script>
	</head>
	<body>
		<!-- 顶部按钮 -->
		<div class="wrapper wrapper-content  animated fadeInRight col-sm-12">
			<div class="panel-toolbar ">
				<div class="buttons">
					<a href="javascript:void(0);" class="btn btn-primary fa fa-save" ><span>保存</span></a>
					<a href="list.htm" class="btn btn-primary fa fa-back" ><span>返回</span></a>
				</div>
			</div>
			<div class="">
				<form  class="fr-form"  id="campusCardForm" action="save.htm" >
					<input type="hidden" name="m:campusCard:id"  value="${campusCard.id}"/>

			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">卡号</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:cardnum" value="${campusCard.cardnum}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-6" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">卡类型0-学生，1-教师，2-临时卡</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:cardtype" value="${campusCard.cardtype}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<%-- <div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">服务商编码</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:servicecode" value="${campusCard.servicecode}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div> --%>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">账户</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:usernum" value="${campusCard.usernum}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<%-- <div class="fr_response_field col-sm-6" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">登录密码</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:pwd" value="${campusCard.pwd}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div> --%>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">姓名</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:username" value="${campusCard.username}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">电话</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:phone" value="${campusCard.phone}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-6" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">状态（0-冻结，1-开启,2-解绑,3-挂失）</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:status" value="${campusCard.status}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">冻结原因</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:closereason" value="${campusCard.closereason}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<%-- <div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">微信unionid</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:wxunionid" value="${campusCard.wxunionid}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-6" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">公众号openid</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:gzhopenid" value="${campusCard.gzhopenid}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">小程序openid</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:xcxopenid" value="${campusCard.xcxopenid}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">微信昵称</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:wxnickname" value="${campusCard.wxnickname}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-6" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">支付宝id</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:alipayid" value="${campusCard.alipayid}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">支付宝昵称</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:alipaynickname" value="${campusCard.alipaynickname}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">卡片余额</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:balance" value="${campusCard.balance}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div> --%>
			 	<div class="fr_response_field col-sm-6" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">校园卡有效期</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:cardvaliditytime" value="${campusCard.cardvaliditytime}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<%-- <div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">支付密码</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:paypassword" value="${campusCard.paypassword}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">CREATETIME</label>
				  	<div class="fr-form-block" data-type="fixed">
				<div class="input-icon" >
					<i class="fa fa-calendar"></i>
					<input type="text" readonly="readonly" class="fr-form-control datepicker" datefmt="yyyy-MM-dd"   name="m:campusCard:createtime"   value="<fmt:formatDate value="${campusCard.createtime}"  pattern="yyyy-MM-dd"/>" validate="{required:false}"/>
				</div>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-6" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">CREATEUSER</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:createuser" value="${campusCard.createuser}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">UPDATETIME</label>
				  	<div class="fr-form-block" data-type="fixed">
				<div class="input-icon" >
					<i class="fa fa-calendar"></i>
					<input type="text" readonly="readonly" class="fr-form-control datepicker" datefmt="yyyy-MM-dd"   name="m:campusCard:updatetime"   value="<fmt:formatDate value="${campusCard.updatetime}"  pattern="yyyy-MM-dd"/>" validate="{required:false}"/>
				</div>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">UPDATEUSER</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:updateuser" value="${campusCard.updateuser}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-6" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">扩展字段1</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:ext1" value="${campusCard.ext1}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">扩展字段2</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:ext2" value="${campusCard.ext2}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">扩展字段3</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:ext3" value="${campusCard.ext3}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div> --%>
			 	<div class="fr_response_field col-sm-6" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">物理卡号</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:carduid" value="${campusCard.carduid}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 <%-- 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">卡流水号</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:cardsn" value="${campusCard.cardsn}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">用户默认支付方式（1SIOS/2计次/3劵支付4/聚合支付/8钱包/0未知）</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:userpaytype" value="${campusCard.userpaytype}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-6" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">钱包一</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:wallet1" value="${campusCard.wallet1}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">钱包二</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:wallet2" value="${campusCard.wallet2}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">钱包三</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:wallet3" value="${campusCard.wallet3}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-6" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">钱包四</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:wallet4" value="${campusCard.wallet4}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">钱包五</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:wallet5" value="${campusCard.wallet5}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">是否管理员（1普通用户/2管理员/3高校运维人员）</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:isadmin" value="${campusCard.isadmin}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-6" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">CERTTYPE</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:certtype" value="${campusCard.certtype}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">CERTNUM</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:certnum" value="${campusCard.certnum}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">WHITELISTVERSION</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:whitelistversion" value="${campusCard.whitelistversion}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-6" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">EXTENDACCOUNT</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:extendaccount" value="${campusCard.extendaccount}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">ORGCODE</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:orgcode" value="${campusCard.orgcode}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div> --%>
			 <%-- 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">PID</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:pid" value="${campusCard.pid}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div> --%>
			 	<div class="fr_response_field col-sm-6" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">性别</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:sex" value="${campusCard.sex}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div>
			 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">入学年份</label>
				  	<div class="fr-form-block" data-type="fixed">
				<div class="input-icon" >
					<i class="fa fa-calendar"></i>
					<input type="text" readonly="readonly" class="fr-form-control datepicker" datefmt="yyyy-MM-dd"   name="m:campusCard:schoolyear"   value="<fmt:formatDate value="${campusCard.schoolyear}"  pattern="yyyy-MM-dd"/>" validate="{required:false}"/>
				</div>
				  					
				 	</div>
			  	</div>
			</div>
			 <%-- 	<div class="fr_response_field col-sm-3" >
			 	<div class="fr-form-group"> 
				 	<label class="fr-control-label">PIDTITLE</label>
				  	<div class="fr-form-block" data-type="fixed">
				<input type="text" class="fr-form-control" name="m:campusCard:pidtitle" value="${campusCard.pidtitle}" validate="{required:false}"/>
				  					
				 	</div>
			  	</div>
			</div> --%>
	  		<table name="s:" data-mode="inner" data-required="" class="table table-bordered table-hover table-condensed">
			<caption>
				<div class="fr-table-header-label">TB_DOOR_CAMPUS_EXT</div>
				<div class="fr-table-tools">
							<a class="btn btn-primary fa fa-add js-add-record"  data-type="add"  href="javascript:void(0);">添加</a>
							<a class="btn btn-danger fa fa-remove js-remove-record"  data-type="remove"  href="javascript:void(0);">删除</a>
				</div>
			</caption>
			<thead>
				<tr>
		     		 <th class="fr_table_col_checkbox" width="45px"><input role="checkbox" class="checkAll" name="s:" type="checkbox"></th>
	       			 <th>关联卡号</th>
	       			<!--  <th>CREATE_TIME_</th>
	       			 <th>CREATE_BY_</th>
	       			 <th>UPDATE_TIME_</th>
	       			 <th>UPDATE_BY_</th>
	       			 <th>IP_</th>
	       			 <th>EXT1</th>
	       			 <th>EXT2</th>
	       			 <th>EXT3</th>
		      	<th class="fr_table_col_remove" width="45px">管理</th> -->
		    </tr>
			</thead>
			<tbody>	
				<c:forEach varStatus="stat" var="campusCard" items="${campusCard.campusExtPoList}">	
					<tr>	
						<td><input role="checkbox" class="cbox " type="checkbox" name="s:" ></td>
				 		<td>
							
				<input type="text" class="fr-form-control" name="s::cardnum:${stat.index+1}" value="${campusCard.cardnum}" validate="{required:false}"/>
												</td>	
				 		<td>
					<%-- 		
				<div class="input-icon" >
					<i class="fa fa-calendar"></i>
					<input type="text" readonly="readonly" class="fr-form-control datepicker" datefmt="yyyy-MM-dd"   name="s::createTime:${stat.index+1}"   value="<fmt:formatDate value="${campusCard.createTime}"  pattern="yyyy-MM-dd"/>" validate="{required:false}"/>
				</div>
												</td>	
				 		<td>
							
				<input type="text" class="fr-form-control" name="s::createBy:${stat.index+1}" value="${campusCard.createBy}" validate="{required:false}"/>
												</td>	
				 		<td>
							
				<div class="input-icon" >
					<i class="fa fa-calendar"></i>
					<input type="text" readonly="readonly" class="fr-form-control datepicker" datefmt="yyyy-MM-dd"   name="s::updateTime:${stat.index+1}"   value="<fmt:formatDate value="${campusCard.updateTime}"  pattern="yyyy-MM-dd"/>" validate="{required:false}"/>
				</div>
												</td>	
				 		<td>
							
				<input type="text" class="fr-form-control" name="s::updateBy:${stat.index+1}" value="${campusCard.updateBy}" validate="{required:false}"/>
												</td>	
				 		<td>
							
				<input type="text" class="fr-form-control" name="s::ip:${stat.index+1}" value="${campusCard.ip}" validate="{required:false}"/>
												</td>	
				 		<td>
							
				<input type="text" class="fr-form-control" name="s::ext1:${stat.index+1}" value="${campusCard.ext1}" validate="{required:false}"/>
												</td>	
				 		<td>
							
				<input type="text" class="fr-form-control" name="s::ext2:${stat.index+1}" value="${campusCard.ext2}" validate="{required:false}"/>
												</td>	
				 		<td>
							
				<input type="text" class="fr-form-control" name="s::ext3:${stat.index+1}" value="${campusCard.ext3}" validate="{required:false}"/>
												</td>	
						<td class="fr_table_col_remove" width="45px">
									
								<a title="删除" class="btn  btn-xs btn-outline btn-row js-remove-row" href="javascript:void(0);"><i class=" fa fa-times-circle-o  fa-lg fa-font-red"></i></a>
						</td>--%>
					</tr> 
				</c:forEach>
			</tbody>
		</table>
		
	<script type="text/html" id="s::TrTemplate">
	 
		<tr>
		  	<td><input role="checkbox" class="cbox " type="checkbox" name="s:" ></td>
	 	 	 	<td>
				<input type="text" class="fr-form-control" name="s::cardnum:{{idx}}"  validate="{required:false}"/>
			</td>
<%--

<td>
				<div class="input-icon" >
					<i class="fa fa-calendar"></i>
					<input type="text" readonly="readonly" class="fr-form-control datepicker" datefmt="yyyy-MM-dd"   name="s::createTime:{{idx}}"    validate="{required:false}"/>
				</div>
			</td>
<td>
				<input type="text" class="fr-form-control" name="s::createBy:{{idx}}"  validate="{required:false}"/>
			</td>
<td>
				<div class="input-icon" >
					<i class="fa fa-calendar"></i>
					<input type="text" readonly="readonly" class="fr-form-control datepicker" datefmt="yyyy-MM-dd"   name="s::updateTime:{{idx}}"    validate="{required:false}"/>
				</div>
			</td>
<td>
				<input type="text" class="fr-form-control" name="s::updateBy:{{idx}}"  validate="{required:false}"/>
			</td>
<td>
				<input type="text" class="fr-form-control" name="s::ip:{{idx}}"  validate="{required:false}"/>
			</td>
<td>
				<input type="text" class="fr-form-control" name="s::ext1:{{idx}}"  validate="{required:false}"/>
			</td>
<td>
				<input type="text" class="fr-form-control" name="s::ext2:{{idx}}"  validate="{required:false}"/>
			</td>
<td>
				<input type="text" class="fr-form-control" name="s::ext3:{{idx}}"  validate="{required:false}"/>
			</td>
		  	<td class="fr_table_col_remove" width="45px">
				<a title="删除" class="btn  btn-xs btn-outline btn-row js-remove-row" href="javascript:void(0);"><i class=" fa fa-times-circle-o  fa-lg fa-font-red"></i></a>
			</td>
			--%>
		</tr>
	</script>
</form>

			</div>
		</div>
	</body>
</html>